Ko te nuinga o nga mate pukupuku e whakapiri ana ki a matou i te waa ranei i runga i te whārangi tautoko o te Facebook Thyroid Tautoko i te paahinga ano: "Kei runga au i te Synthroid (tetahi atu tarukino levothyroxine pera ranei me te Levoxyl) a kaore au e pai ana. "
Mo nga mate pukupuku tenei ko tenei, ko te mea tuatahi ki te whakaaro ko te mea ka whai hua pea koe mai i te kohinga T3 .
(He recap iti: Ko te Synthroid, te Levoxyl me etahi atu taero levothyroxine -ko te reroxine ano hoki ko te L-T4-ko nga ahua o te T4 te hiroone Turi. Ko te T4 te haumi rokiroki, me tahuri mai ki te T3, te hormone kaha , hei whakamahinga mo o ratau ruma.Ko te Cytomel tarukino he ahua waihanga o te T3. He ahua tawhito o Cytomel, me etahi kaitohutohu e mahi ana me te tuku i te T3 i te wa i tukunahia / te whakatairanga mai i te whakauru i nga rongoā. Nature-throid, Armor Thyroid he momo taiao o T4, T3 me etahi atu homoni thyroid .)
I tenei wa, hoki mai ki te take mehemea ka whai hua pea koe i te T3 . Ko te uiui mahi: ko taau taakete e pai ki te whakawhitiwhiti korero ki a koe, me iti rawa te tohu? Kaore he whakautu whakautu.
Ki te korero koe ki te taakuta, "Ka taea e au te whai hua mai i etahi atu T3?" Ko te urupare pea ka uru ki tetahi o nga waahi e wha ...
- A. E whakaatu ana a Ihowa i te mea kaore ia e hiahia ana ki te whakawhitinga korero mo T3.
- B. E ai ki te taote, "ehara i te mea e pai ana ki a au.
- C. Ka whakaaro te taakuta ki a ia, ka mea, "pai, kia ata titiro ki to taumata T3 koree kia kite i te ahua o te ahua me te whakatau.
- D. Ka mea te taote, "he tino tika pea tenei. Me whakamatau i tetahi horopaki iti o T3 me te kite i to ahuatanga ki a ia. Engari kia mohio kei reira he whakapae mo koe ...
Me tino marama, ki te mea he manawanui koe na te Doctor A, he pai te whiriwhiri ko te tiki i tetahi taote materota hou . Ko te tono ki te matapaki i tetahi maimoatanga e taea ana he tono tika, kaore ano kia tutuki ki te kore whakaute, ki te whakakore ranei. Ko etahi o nga whakautu he, i roto i te meka, he taunakitanga maamaa he wa mo te taote hou.
Mena kei te mahi tahi koe me te Doctor B, ka pai koe ki te ui he aha tana whaainga mo te kore e whai waahi ki te whakauru i te T3 ki te maimoatanga o te rerotoropiu-o-levothyroxine-anake. I konei, ka hiahia pea koe ki te whakahua, ki te kawe mai ranei i tetahi recap ranei, o te ako Daniana i puta mai i te mutunga o te tau 2009 i roto i te Journal Journal of Endocrinology . I tirotirohia e taua rangahau te take tautohetohe o te maimoatanga me te T3 rongoa hei tapiri ki te T4-anake (tevothyroxine) rongoa mo te hypothyroidism .
E ai ki te rangahau, ko te 49 ōrau o ngā tūroro i rangahau i pai ki te rongoa i te levothyroxine tae atu ki te tarukino T3 , me te 15% anake te maimoatanga o te levothyroxine-anake. (Tirohia i raro nei mo etahi atu korero mo taua ako, me pehea e taea ai e koe te kape ki te whakaatu i to taakuta.) Mena ka whakakore a D i te T3 ki a koe, a kaore e taea e koe te whakaoti ia koe ki te whakamarama whaa, he wa mo te hou tō tākuta reta .
Mena kei te mahi koe ki a Doctor C, whakaarohia koe he waimarie. Korero ki te taakuta he aha tana whainga mo Free T3. A haere tonu ki te tiki i te whakamatautau T3 free, kia mau tonu ki te whakaaro e whakaarohia ana e te nuinga o nga kaiwhakaaro o te kaitautoko e tino pai ana nga mate ki te whai i nga taumata T3 free i te hawhe o te waa noa, tae noa ki te 75th percentile me runga ake o te awhe.
(Me pehea te mahi? Me mahi te math.) Ki te mea ko te waahanga tohutoro mo te Free T3 ko te 2.0-4.4 pg / mL, ko te waenganui waenga ko waenganui i waenganui ia ratou, 3.2 ranei, a ko te 75th percentile te 3.8.)
A, ki te mea kei a koe ko te Tumuaki Doctor D', ano, whakaarohia e koe he waimarie ki te whai i tetahi rata hinengaro me te mohio.
Ko nga whaimana, ko nga taakuta kei te tupato ki te whakamahi i te T3 i roto i tetahi tangata kei a ia he hitori o te mate pukupuku o te ngakau, he raruraru ngakau ranei, me nga koroheke, na reira ka maharahia e nga kaitoi T3-savvy tenei.
Tuhinga ka whai mai
Ki te hiahia koe ki te whakapuaki i nga korero ki taau taakuta mo te akoanga Daniana 2009, ko etahi o nga rauemi:
- Tuhinga: Ko te Akoranga e whakaatu ana ko te Whakauru o te T3 he Pai ake ki te Levothyroxine / T4-He Toroorau anake mo te Hypothyroidism
- He tohutoro mo te Study Danish: Birte Nygaard, Ebbe Winther Jensen, Jan Kvetny, Anne Jarløv me Jens Faber. "Te painga o te whakawhitinga rongoā me te thyroxine (T4) me te 3,5,3'-triiodothyronine me te T4 monotherapy i roto i te hunga mate ki te hypothyroidism, he matapo-matapo, he whakawhitiwhiti i te waarangi," European Journal of Endocrinology, Vol 161, Putanga 6, 895-902, Hakihea 2009
- Ko te Akoranga: Pānuihia te Abstract / Tikina he Pukapuka (Kaua e wareware kei te utu i te ipurangi mo te rehitatanga, ka taea e koe te tiki i tetahi kape koreutu o te tuhinga mo te tuhinga hauora mehemea kei te whai koe i te kura hauora, i te whare hauora, i te whare pukapuka science ranei. )
> Puna:
> Nygaard, B et. al. "Te painga o te whakawhitinga rongoā me te thyroxine (T4) me te 3,5,3'-triiodothyronine me te T4 monotherapy i roto i te hunga mate ki te hypothyroidism, he matapo-matapo, he whakawhitiwhiti i te waarangi," European Journal of Endocrinology, Vol 161, Putanga 6, 895-902, Hakihea 2009